| NPI | 1376080523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704272525) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704282525) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-07-21 |